Amico, Matthew

Amico, Matthew is an individual health care provider with primary practice located at 11905 Bowman Dr Ste 507 , Fredericksburg VA 22408-7344. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Amico, Matthew can be contacted via phone (540) 395-9962.

Contact Information

Primary practice address
11905 Bowman Dr Ste 507 Fredericksburg VA 22408-7344
Phone: (540) 395-9962
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1386106383
LBN Legal business name Amico, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2019
Last updated Jun 11th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386106383 NPPES
Other 0 N/A

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